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Montana rates for HCPCS 0165T

Revj Tot Disc Arthrp Ant Appr Lmbr Ea Ntrspc

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,039.74 / $1,093.00 / $1,093.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,209.33 / $1,209.33 / $1,209.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,027.94 / $1,088.41 / $1,209.33
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$520.92 / $520.92 / $1,209.33
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,027.94 / $1,209.33 / $2,004.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$594.54 / $713.40 / $787.19